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¿Cuáles son mis beneficios para un chequeo físico de rutina/chequeo de salud de rutina?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Su bienestar es nuestra prioridad. La mayoría de nuestros planes cubre exámenes físicos de rutina y vacunas sin costo* para usted, siempre y cuando sean administrados por el médico de atención primaria contratado que seleccione dentro de su red. Haga clic para ver los detalles de la Descripción de beneficios.

*Bajo ciertas condiciones, podrían aplicarse costos.

¿Cuenta mi plan con algún beneficio de bienestar y/o pérdida de peso? ¿Qué tipos de cosas están cubiertas por ese beneficio?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Nos dedicamos a su bienestar. Nuestro beneficio de bienestar y/o beneficio de pérdida de peso puede hacerle ahorrar, tanto a usted como a su familia, en gastos elegibles anualmente.

Para solicitar un reembolso, use nuestro formulario de presentación en línea.

Para ver lo que cubre su plan, haga clic en la pestaña Descripción de beneficios.

FAQs for Routine Adult Physical Exams

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
ADD FAQs

What are my benefits for a routine physical/routine health checkup?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Your well-being is our top priority. Most of our plans cover routine physical exams and immunizations at no cost* to you when administered by your selected primary care physician contracted within your network. Click to view your Benefit Description details.

*Under certain conditions, costs may apply.

Does my plan cover the shingles (flu, travel) vaccine?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Most plans cover recommended preventive and travel immunizations without cost share.* This includes but is not limited to: flu shots, travel immunizations, shingles (Shingrix) and meningococcal vaccine.

Members can get their immunizations from an in-network provider or at an outpatient clinic. Members with pharmacy benefits with us may also be able to receive immunizations at retail pharmacy locations affiliated with Express Scripts®′ that offer vaccines.

*Under certain conditions, costs may apply.

What are my benefits for a mammogram, colonoscopy?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Most preventive screenings are included in your plan at no additional cost.* If a service/procedure is ordered due to signs and/or symptoms, to check on an existing issue or to diagnose a health concern, cost share may apply.

Check your Benefit Description for more details.

*Under certain conditions, costs may apply.

Do I need a referral from my PCP to see a specialist? Will I have a co-pay?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
HMO plans, like HMO Blue® and HMO Blue New England,SM require a PCP referral before seeing a specialist. Because your PCP knows your history and health care needs, they are best qualified to help you decide whether a specialist is needed.

Blue Choice® and Blue Choice New EnglandSM members have the option to self-refer for covered services but may incur a higher out-of-pocket cost.

Members on PPO plans do not require a referral to see a specialist.

To determine your cost share for these services, click the Costs tab.
Benefit Category
Routine Adult Physical Exams
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What are my benefits for Physical Therapy?

Member for

3 years 11 months
Submitted by Linda.SimmonsBarrows on
Your coverage details for physical therapy are found under your Short Term Rehabilitation benefit. (Link to Short Term Rehabilitation Plan Page.)